Wendell N Williams, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

29512 Issued in OK

Practice address

350 S 40TH St
Muskogee, OK 74401-4915

Phone

(918) 683-0753

Fax

(918) 683-5677

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wwilliams191639@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mound City Cardiovascular Consultants, Inc.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1437277589

  Cardiovascular Disease

  NPD Authorized official
• Integris Cardiovascular Physicians LLC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1306129598
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1164477287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 40TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014915",
            "telephone_number": "918-683-0753",
            "fax_number": "918-683-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 40TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014915",
            "telephone_number": "918-683-0753",
            "fax_number": "918-683-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WENDELL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "29512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200465640A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa S Williams, DPH
• Nathan R.B. Williams, D.C.
• Randi Michelle Williams
• Samantha Noelle Williams, DDS
• Valerie Joyce Williams
• Joshua Willingham
• Christina R. Willis, LCSW
• Edward Alexander Wilson, CNA
• Jennifer Lynn Wilson, RN
• Jessica Wilson, PTA

• Cardiovascular Disease Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Cardiovascular Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.